4064 Amethyst Lane - Zoning Permit
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I For Office Use I
401~ I y~ ``7 I
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Permit#: / C
City of Ea~d
I I
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5685
Fax: (651) 675-5694
Email: plan n1 ng(D-cityofeagan.com
ZONING PERMIT APPLICATION
❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
PROPERTY Site Address: (1(e- A rule-
INFORMATION
Owner Name: Cry L h G~~ CC -6)
Name:; De Pik cc0 Phone: s o~ -7/S'-dam/y
Address: s7- City/State/Zip: Za /Lf'C/ ,r/~2oZ
CONTACT
Applicant Signature: Date:
Email address: G4-Pde l adQ~ 6,d ,
❑ Retaining Wall <4 feet ❑ Driveway )Z Other:
TYPE OF ❑ Patio ❑ Sport Court
WORK ❑ Sidewalk ❑ Fence
Description of work: ~0 X / S kl~
PLANNING Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc.
Approved / enied Date: r = Staff: t < < }'tCC../-
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!69e A.
Revised Plans
Approved: Yes / No Date: Staff:
ENGINEERING Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right-of-Way, etc.
Approved / Denied Date: Staff:
Notes:
Revised Plans
Approved: Yes / No Date: Staff:
COMMENTS
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
G:\Building Inspections\PERMIT APPLICATIONS\2011\2011 Permit Applications
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